| Carol Petruff, MD | |
|
44 Dale Rd, Prime Healthcare, Avon, CT 06001-3612 | |
| (860) 674-8830 | |
| (860) 674-8984 |
| Full Name | Carol Petruff |
|---|---|
| Gender | Female |
| Speciality | Gastroenterology |
| Experience | 34 Years |
| Location | 44 Dale Rd, Avon, Connecticut |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083691794 | NPI | - | NPPES |
| 010033353CT01 | Other | CT | BCBS |
| 033353 | Other | CT | MEDICAL LICENSE |
| 001333533 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 033353 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Francis Hospital & Medical Center | Hartford, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prime Healthcare, Pc | 6709787930 | 62 |
| Entity Name | Prime Healthcare, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184819302 PECOS PAC ID: 6709787930 Enrollment ID: O20040121000411 |
| Mailing Address | Practice Location Address |
|---|---|
| Carol Petruff, MD 30 Jordan Ln, Prime Healthcare, Wethersfield, CT 06109-1278 Ph: (860) 263-0253 | Carol Petruff, MD 44 Dale Rd, Prime Healthcare, Avon, CT 06001-3612 Ph: (860) 674-8830 |
Dr. Chi H Kim, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 100 Simsbury Rd, Suite 203, Avon, CT 06001 Phone: 860-284-5111 Fax: 860-254-5114 | |
Anthony Zaldonis, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 44 Dale Rd, Prime Healthcare, Avon, CT 06001 Phone: 860-674-8830 Fax: 860-674-8984 | |
Marie Dam, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 35 Tower Ln, Suite 103, Avon, CT 06001 Phone: 860-921-3345 Fax: 860-201-1041 | |
Dr. Julie Ann Vernon, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 62 Northgate, Avon, CT 06001 Phone: 860-675-0542 | |
Lisa Marie Gronski, D.O. Gastroenterology Medicare: May Accept Medicare Assignments Practice Location: 339 W Main St, Avon, CT 06001 Phone: 860-696-2150 Fax: 860-696-2160 | |
Paul P Stroebel, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 236 Cold Spring Road, Avon, CT 06001 Phone: 860-673-0882 |